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Query about paralysis stroke - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Stroke
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
Doctor :   HI
User : dad is is coma state m1
Doctor :   m1 means ?
User :   no response to pain
Doctor :   OK
Doctor :   I am sorry to hear that.
Doctor :   But what is the reason?
User :   type of cerebral attack
Doctor :   How old is he?
User :   58yrs
Doctor :   so he is come due to stroke
User :   yes,
Doctor :   Wha t i s the CT result? I s there any blleding inside the brain? \
User :   ct scan report says
User :   acute infarct in right gangliocapsular region
Doctor :   .OK it is infacrt not bleeding
Doctor :   What about the cardiovascular status?
User :   wat does it mean
Doctor :   is he maaitaining Blood pressure and respiration?
User :   he is stable in vital signs since past week
User :   on ventilator
Doctor :   Is he intubated or breathing by own?
Doctor :   Ok
Doctor :   But on any medication to support blood pressure?
User :   no
Doctor :   Good
Doctor :   Hemorrhage is more dangerous than infact
Doctor :   But, usually all strokes do not end up in coma
Doctor :   He consciousess is effected that is the only reason I thnk he is intubated.
User :   wait sending u full ct scan report
Doctor :   Just colclusion is fine to diagnose
User :   Report CT Scan of brain 1.Evidence of ill-defined hypodense lesion in right gangliocapsular region suggest possibility of acute infract. 2.Posterior fossa structures-brain stem and cerebellum are normal. 3.Ventricular system ,basilar cisterns are normal. 4.There is no shift of middle structures. 5.Visualized parts of orbit and paranasal sinuses appear normal. Opinion:Plain C.T. Study of brain reveals acute infract in right gangliocapsular region.
Doctor :   Actual I got the diagnosis
Doctor :   It is not really bad
Doctor :   There is midline shift
Doctor :   there is blleding
Doctor :   No swelling or edema
Doctor :   I feel he will make it out
Doctor :   It takes times to resolve the edema
User :   my only fear is how long we can bear the expenses of ventilator
Doctor :   Today is ?
User :   7th day
User :   how long does it take
Doctor :   You can predict. It mat take 10, 15 days
User :   i know its hard to say in such cases
Doctor :   Really u r right
Doctor :   But the BP is ok
Doctor :   Lungs are OK
User :   ya it is
Doctor :   only conscoeis is effected
User :   ya
User :   doctor said it is surprising
User :   that all his organs are still goin on well
Doctor :   he has to be on ventilator till he responds to pain
User :   ok
Doctor :   You can wait untill ur patience
Doctor :   Give me 20 days time
User :   do you mind me asking ur field of medicine
Doctor :   But request doctors to wean from ventilator
User :   wean??
Doctor :   Family Medicine
Doctor :   To escalteweaning from ventilator,there are setting
User :   didnt get you
Doctor :   If the settings are at natural level , it is easy to wean from ventilator
Doctor :   It is hard for u to understand
Doctor :   But doctors will do it
Doctor :   Do not worry
User :   it is set to 12
Doctor :   very good
User :   respiratory rate, i mean
Doctor :   that is just at natural respiratory rate
User :   its a nellcor machine
User :   with a philips ecg monitor
Doctor :   the ventilator is just supporting from aspiration and protecting the air ways
Doctor :   he is breathing almost naturally
User :   ok
Doctor :   Just wait for consciousness. respince to touch/pain\
User :   ok
Doctor :   Did the discussion help?
User :   do you want to ask anything
User :   in particular
Doctor :   I got all things . It is basically life support.
User :   ya
Doctor :   Hard time for you , ha
Doctor :   It will be alright
User :   thank you for the info
Doctor :   You welcome
Doctor :   Bye
User :   bye
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